Validate OHI service definitions, including diagnosis/procedure mappings, benefit routing, priorities, and product-specific rules.
Verify Medical Coding Spine data and prerequisite configuration before testing.
Test claims adjudication outcomes across approval, rejection, review, pre-authorisation, and benefit limit scenarios.
Validate eligibility, limits, perk consumption, waiting periods, deductibles, co-insurance, and related product rules.
Confirm correct routing and benefit consumption for supporting claim lines (e.g., accommodation, diagnostics, medication).
Prepare and manage required member, policy, provider, authorisation, and claims test data.
Robust UI automation and solid communication skills.
strong hands-on automation experience - UI, API and any data base in Playwright, and Karate(preferred, not mandate)